Bridging Nature and Care : nurturing Individuals with Dementia in a Residential Care Facility in Denmark

Abstract: The global demographic shift towards an aging population, with a projected 22% of the world over 60 by 2050, presents a significant challenge because of the soaring rates of dementia, carrying profound economic, political, and social consequences. Research emphasizes the potential of naturebased interventions in improving the well-being of individuals with dementia. However, practical implementation in residential care facilities remains limited. This thesis investigates the integration of a nature-based care culture for residents with dementia in a real-world residential care facility context, focusing on the crucial role of healthcare professionals and environmental qualities. Using an intrinsic single case study design, the research centers on a residential care facility in Denmark that has successfully integrated nature into its care culture. It employs qualitative research methods, including interviews and place analysis, to address research questions. Focus group and joint walk-along interview were conducted to explore healthcare professionals' roles in nature- based care cultures. Participants were purposefully selected, including four healthcare professionals of varying backgrounds in the focus group and a healthcare professional and a project manager from a previous nature and outdoor life project in the joint interview. Indoor and outdoor environments were assessed using the Quality Evaluation Tool and Principal Model in four zones of contact with the outdoors. According to the research findings, integrating a nature-based care culture within a residential care facility depends on motivated healthcare professionals, employing nature-based interventions. Emphasizing the need for supportive environments, strong leadership, and volunteers. The identification of a 'prime mover,' a healthcare professional responsible for planning and executing nature-based interventions, emerges as a critical success factor. Future research could explore the dynamics between the 'prime mover' and the interplay among management, volunteers, healthcare professionals, and the physical residential care facility environment, shedding light on broader implications for enhancing the well-being of residents with dementia.